Community Coordinator

Services for the Underserved•New York, NY

13d•$40,000 - $46,340

About The Position

SCOPE OF ROLE: The Community Coordinator is committed to removing the client's barriers to care by identifying critical resources for our persons served, helping them navigate through health care services and systems, and promoting consumer health. The Community Coordinator provides housing, wellness, and stabilization services to the person’s served on the SUS ACT Teams. The Community Coordinator supports the Team Providers, Psychiatrist and Nurse Practitioners, by facilitating telehealth video calls between the providers and persons served to mental health care services. The Community Coordinator will also support the team by coordinating service needs, processing HRA applications, scheduling medical and mental health appointments, and assisting with other program requirements. The purpose of the Community Coordinator is to quickly and effectively assist person’s served with transition to housing, coordinate mental health needs with the health center as they graduate from ACT Services, and provide general support based on needs.

Requirements

HS Diploma/GED and/or Peer Certification required
Bachelors Degree in related field, Mental Health, Social Work, preferred
Experience in the Mental Health service field preferred

Nice To Haves

Compassion, high quality care and dedication
Strong collaborative, organizational and time management skills
Demonstrate a person-centered values-based approach to services
Demonstrate keen attention to detail
Effective written and oral communication skills; ability to articulate and communicate messages for internal and external audiences
Proficiency in MS Office and database software
Willingness and ability to function as part of an interdisciplinary team

Responsibilities

Facilitates telehealth video calls for team providers on a monthly and/or quarterly basis.
Assist with tele-visits to ensure clients are trained to do telehealth
Create a wellness action plan tailored to each consumer’s needs, working collaboratively with providers and other community-based organizations to ensure client receives comprehensive and coordinated care, regarding health, transition to outpatient programs, and connection to housing.
Provide clients with ongoing follow-up, with regards to the graduation and housing goals
Support the team by conducting telehealth and/or field visits needed- no more than 10-12 a month.
Support team with 2-person visits for high risk clients.
Support team with escorting clients to AOT appointments
Seek out existing community medical and mental health resources and provide information and referrals for to clients as needed.
Assist clients with medication review and understanding directives from team provider in order to address mental health conditions and decrease utilization of hospitals
Coordinate transportation resources for medical appointments, escort to appointments and provide appointment reminders as needed.
Support around recreational activities.
Additional responsibilities may be added as position evolves.
Communicates, plans, and coordinates with other team members the scheduling of meetings with consumers
Participates actively in group planning, implementation, and processing as requested
Fulfills scheduling requirements.
Maintains patient confidentiality at all times
Represents the organization in a positive and professional manner in the community.